| NPI | 1235561622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 2896572) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: FL 2896572) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2020-10-08 |